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l ' <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1668 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES 1 YEA ROM DATE ISSUED <br /> JOB ADDRESS 7116 E.Arata Rd. CITY/ZIP Stockton,CA. 9 S2j w <br /> en <br /> CROSS STREET Fairchild Rd. APN 101-130-57 PARCEL SIZE 45.4 Acres e <br /> l 0 <br /> OWNER NAME and B=ano k ( (j R 1 PHONE(209)986-9091 <br /> OWNER ADDRESS—10004--�d I&FlnF-4� CITY/STATE/ZIP Stockton,CA.95215 <br /> CONTRACTOR Dillon 8 Murphy PHONE (209)334-6613 <br /> CONTRACTOR ADDRESS 847 N.Cluff Ave. P(�fi f�t� CITY/STATE/ZIP Lodi,,,CA.9,5/241 <br /> LICENSE -1 C-42 1 C-36 OTHER NUMBER F4CV •5"2'7EXPIRATON DATE �I'i�l_J <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST # 2 BUILDING PERMIT# LAND USE APPLICATION# 1900010 <br /> TYPE OF WORK: I-1 NEW INSTALLATION n REPAIR/ADDITION 1 ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OF-SERVICE SEPTIC SYSTEM ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: -1 RESIDENCE ❑ COMMERCIAL D OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE It <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH !2� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE �� <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH O <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft Jq <br /> L3 SEEPAGE PITS NUMBER WIDTH ft DEPTH a/ k� A ®1Q <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINEIA <br /> �'f Intl G`o� <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCE'DE MFIVTq�� <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. qR" <br /> MINIMUM 4 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-7697 MFNT <br /> SIGNED Joe( 0✓1�A✓1 V TITLE Staff DATE 08/20/2019 <br /> sirs yur <br /> Tt <br /> s9— <br /> t <br /> —x+ Kin=.m_ <br /> t iA <br /> ww ed <br /> DRAFTI <br /> D RTMENITIUSE N <br /> Application Accepted B Date Area Employee ID# <br /> i <br /> Final Inspection By Date SPECIAL PE MIT-Approved by <br /> Character of Soil to De ftt:/ Pit/Sump Soil Character] <br /> COMMENTS �f ( I*��. -er� � !' <br /> PE SC Received Check Amount Permit/ <br /> Code INFO B emitted Date Service rm Request# Invoice# Permit ID# <br /> z� z <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />